Individual provider · Type 1 NPI

Amanda Wyatt, LCSW

Clinical Social Worker · New York, NY

NPI number 1861099467 Active

Practice location

57 W 57th St Ste 1101
New York, NY 10019-2814

Mailing address

279 E 44th St Apt 15C
New York, NY 10017-4353

Other practice locations

  • 279 E 44th St Apt 15C, New York, NY 10017-4353 · (646) 853-2445

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X102333 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1861099467

Amanda Wyatt, LCSW's National Provider Identifier is 1861099467, issued on Oct 6, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Aug 7, 2026.